Critical analysis of the effects of SGLT2 inhibitors on renal tubular sodium, water and chloride homeostasis and their role in influencing heart failure outcomes

M Packer, CS Wilcox, JM Testani - Circulation, 2023 - Am Heart Assoc
SGLT2 (sodium-glucose cotransporter 2) inhibitors interfere with the reabsorption of glucose
and sodium in the early proximal renal tubule, but the magnitude and duration of any …

How can sodium–glucose cotransporter 2 inhibitors stimulate erythrocytosis in patients who are iron‐deficient? Implications for understanding iron homeostasis in …

M Packer - European journal of heart failure, 2022 - Wiley Online Library
Many patients with heart failure have an iron‐deficient state, which can limit erythropoiesis in
erythroid precursors and ATP production in cardiomyocytes. Yet, treatment with sodium …

Mechanisms of enhanced renal and hepatic erythropoietin synthesis by sodium–glucose cotransporter 2 inhibitors

M Packer - European Heart Journal, 2023 - academic.oup.com
Abstract Sodium–glucose cotransporter 2 (SGLT2) inhibitors reduce the risk of major heart
failure events, an action that is statistically linked to enhanced erythropoiesis, suggesting …

Mechanisms of benefits of sodium-glucose cotransporter 2 inhibitors in heart failure with preserved ejection fraction

AK Pandey, DL Bhatt, A Pandey, N Marx… - European heart …, 2023 - academic.oup.com
For decades, heart failure with preserved ejection fraction (HFpEF) proved an elusive entity
to treat. Sodium-glucose cotransporter 2 (SGLT2) inhibitors have recently been shown to …

Blinded withdrawal of long-term randomized treatment with empagliflozin or placebo in patients with heart failure

M Packer, J Butler, C Zeller, SJ Pocock… - Circulation, 2023 - Am Heart Assoc
BACKGROUND: It is not known whether the benefits of sodium-glucose cotransporter 2
inhibitors in heart failure persist after years of therapy. METHODS: In the EMPEROR …

Empagliflozin in heart failure: regional nephron sodium handling effects

VS Rao, JB Ivey-Miranda, ZL Cox… - Journal of the …, 2024 - journals.lww.com
Background: The effects of sodium-glucose cotransporter-2 inhibitors (SGLT2i) on regional
tubular sodium handling is poorly understood in humans but may be important for the cardio …

Similarities and distinctions between acetazolamide and sodium–glucose cotransporter 2 inhibitors in patients with acute heart failure: key insights into ADVOR and …

M Packer, J Butler - European Journal of Heart Failure, 2023 - Wiley Online Library
Both acetazolamide and sodium–glucose cotransporter 2 (SGLT2) inhibitors block sodium
reabsorption in the proximal renal tubule primarily through inhibition of sodium–hydrogen …

Potential mediators for treatment effects of novel diabetes medications on cardiovascular and renal outcomes: a meta‐regression analysis

JM Rodriguez‐Valadez, M Tahsin… - Journal of the …, 2024 - Am Heart Assoc
Background Prior research suggests clinical effects of glucagon‐like peptide‐1 receptor
agonists (GLP‐1RAs) and sodium‐glucose cotransporter‐2 inhibitors (SGLT2is) are …

Efficacy of antihyperglycemic therapies on cardiovascular and heart failure outcomes: an updated meta-analysis and meta-regression analysis of 35 randomized …

M Hasebe, S Yoshiji, Y Keidai, H Minamino… - Cardiovascular …, 2023 - Springer
Background Effects of antihyperglycemic therapies on cardiovascular and heart failure (HF)
risks have varied widely across cardiovascular outcome trials (CVOTs), and underlying …

Mediators between canagliflozin and renoprotection vary depending on patient characteristics: Insights from the CREDENCE trial

Y Doi, T Hamano, S Yamaguchi… - Diabetes, Obesity …, 2023 - Wiley Online Library
Aim To identify the mediators between canagliflozin and renoprotection in patients with type
2 diabetes at a high risk of end‐stage kidney disease (ESKD). Methods In this post hoc …